Individual
RUSSELL DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
34975 N NORTH VALLEY PKWY, SUITE 100, PHOENIX, AZ 85086-4028
(623) 295-4820
(623) 295-4830
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1015
AZ
Other
Enumeration date
08/29/2005
Last updated
09/25/2013
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